van Os J, Neeleman J
Department of Psychological Medicine, Institute of Psychiatry, London.
BMJ. 1994 Nov 5;309(6963):1218-21. doi: 10.1136/bmj.309.6963.1218.
Despite legislation to harmonise mental health practice throughout Europe and convergence in systems of training there remains an extraordinary diversity in psychiatric practice in Europe. Approaches to tackling substance misuse vary among nations; statistics on psychiatric morbidity are affected by different approaches to diagnosis and treatment of psychiatric disorders; attitudes towards mental illness show definite international differences. Everywhere, though, mental health care for patients with psychotic illnesses is a "cinderella service," and there is a general move towards care falling increasingly on the family and the community.
尽管有立法旨在协调全欧洲的心理健康实践，且培训体系也渐趋一致，但欧洲的精神病学实践仍存在巨大差异。各国应对药物滥用的方法各不相同；精神疾病发病率的统计数据受到精神疾病诊断和治疗方法差异的影响；对精神疾病的态度存在明显的国际差异。然而，在各地，为精神病患者提供的心理健康护理都是一项“灰姑娘服务”，而且总体趋势是护理越来越多地落在家庭和社区身上。
